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DR. ROBERT COOK RODDENBERRY JR. M.D.
NPI 1952691891
Surgery in Spruce Pine, NC

Active since April 12, 2011PECOS EnrolledAccepts Medicare Assignment
96.6/100
CMS Quality Rating
189 HOSPITAL DR, SPRUCE PINE, NC 28777(828) 766-3555 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 4, 2022, Sep 3, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Robert Cook Roddenberry Jr. M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROBERT COOK RODDENBERRY JR. M.D. (NPI 1952691891) is an individual surgery provider in Spruce Pine, North Carolina, licensed in North Carolina (2017-01668) and active in the NPI registry since April 2011. He is enrolled in Medicare PECOS, is affiliated with The Mcdowell Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1952691891
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. ROBERT COOK RODDENBERRY JR.Credential: M.D.
Location Address189 HOSPITAL DRSpruce Pine, NC 28777-3035
Mailing Address472 Rankin DrMarion, NC 28752-6568 · (828) 659-5700 · Fax (828) 659-5700
Phone(828) 766-3555
Sole ProprietorNo
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2011
Enumeration DateApril 12, 2011
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2020
✔ NPI 1952691891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NC · 2017-01668
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
189 HOSPITAL DR, Spruce Pine, NC 28777
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1472 Rankin DrMarion, NC 28752-6568 · Phone (828) 652-1400
Location 21 Stadium Dr # 9238Morgantown, WV 26506-7900 · Phone (304) 293-1277 · Fax (304) 293-4711

Other Identifiers 1

OtherNCY902ANC · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Robert Cook Roddenberry Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5597067181
PECOS Enrollment IDI20170929003246
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
21 services21 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
16 services16 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Mcdowell Hospital

Acute Care Hospitals · Marion, NC
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340087
Location430 Rankin Drive P O Box 730Marion, NC 28752 · Mc Dowell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28777 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

96.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability96
Improvement Activities40

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHARLES BRADLEY QUILLEN DNP
Nurse Practitioner (Family)
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 213-4444
JOHN R MONTZ M.D.
Orthopaedic Surgery
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 766-3555
MISSION MEDICAL ASSOCIATES, INC.
Internal Medicine (Cardiovascular Disease)
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 274-6000
KENDRA LARISSA MOORE NP
Nurse Practitioner
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 766-3555
MH BLUE RIDGE MEDICAL CENTER, LLLP
Pharmacy (Community/Retail Pharmacy)
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 766-2950
DOROTHY JEANNE BOBBE MD
Family Medicine
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 766-3555
BLUE RIDGE REGIONAL HOSPITAL
Pharmacy (Community/Retail Pharmacy)
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 213-0048
DR. STEPHEN ERIC HAYES MD
Family Medicine
189 HOSPITAL DR
SPRUCE PINE, NC 28777
Mitchell County (828) 766-3555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Robert Roddenberry's NPI number?

The NPI number for Robert Roddenberry is 1952691891. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Robert Roddenberry located?

Robert Roddenberry practices at 189 Hospital Dr, Spruce Pine, NC 28777. The listed phone number is (828) 766-3555.

What is Robert Roddenberry's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Robert Roddenberry enrolled in Medicare?

Yes. Robert Roddenberry is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Robert Roddenberry accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC and 1 other insurer list Robert Roddenberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Roddenberry affiliated with any hospitals?

According to CMS data, Robert Roddenberry is affiliated with The Mcdowell Hospital.

When was this NPI record last updated?

The NPPES record for Robert Roddenberry was last updated on January 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.